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1. Mental health treatment
Facility which provides services including therapy or psychotropic medication to treat a person’s mental health issue, reduce symptoms, and improve behavioral functioning and outcomes.
2. Substance use treatment
Refers to a range of services, including problem identification and diagnosis, brief interventions, assessment of substance use and related problems, treatment planning, counseling, medical services, psychiatric services, psychological services, social services, and follow-up for persons with alcohol or other drug problems (Institute of Medicine, 1990).
3. Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Refers to treatment services intended to help their clients’ ability to function as a result of substance use and/or mental disorders. By definition, serious mental illness is someone over 18 having (within the past year) a diagnosable mental, behavior, or emotional disorder that causes serious functional impairment that substantially interferes with or limits one or more major life activities. For people under the age of 18, the term ‟Serious Emotional Disturbance” refers to a diagnosable mental, behavioral, or emotional disorder in the past year, which resulted in functional impairment that substantially interferes with or limits the child’s role or functioning in family, school, or community activities.
1. Individual psychotherapy
Focuses on a patient's current life and relationships within the family, social, and work environments through one-on-one conversations with a therapist. The goal is to identify and resolve problems with insight, as well as build on strengths.
2. Couples/family therapy
An approach that uses discussions and problem-solving sessions facilitated by a therapist to help couples and family members improve their understanding of and the way they respond to one another. This type of therapy can resolve patterns of behavior that might lead to more severe mental illness. Family therapy can help educate about the nature of mental disorders and teach skills to better cope with the effects of having a family member with a mental illness, such as how to deal with feelings of anger or guilt.
3. Group therapy
Involves groups of usually 4 to 12 people who have similar problems and who meet regularly with a therapist. The therapist uses the emotional interactions of the group's members to (1) help them get relief from distress and (2) possibly modify their behavior.
4. Cognitive behavioral therapy
Involves recognizing unhelpful patterns of thinking and reacting, and then modifying or replacing these with more realistic or helpful ones. The therapy can be conducted with individuals, families, or groups, and clients are generally expected to be active participants in their own therapy.
5. Dialectical behavior therapy
Cognitive behavioral therapy approach with two key characteristics: a behavioral, problem-solving focus blended with acceptance-based strategies, and an emphasis on dialectical processes. "Dialectical" refers to the issues involved in treating patients with multiple disorders and to the type of thought processes and behavioral styles used in the treatment strategies. DBT emphasizes balancing behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.
6. Integrated Mental and Substance Use Disorder treatment
Provides combined treatment for mental illness and substance abuse from the same clinician or treatment team. Effective integrated treatment programs view recovery as a long-term, community-based process. The approach employs counseling designed especially for those with co-occurring disorders.
7. Activity therapy
Includes art, dance, music, recreational and occupational therapies, and psychodrama.
8. Telemedicine/telehealth therapy
The ability for healthcare providers, working remotely and using telecommunications technology, to communicate with patients, diagnose conditions, provide treatment, and discuss healthcare issues with other providers to ensure quality healthcare services are provided.
1. Smoking not permitted
Smoking is not allowed.
1. Outpatient
Describes patients who receive treatment services without an overnight stay at a treatment facility or hospital.
1. Cash or self-payment
Payment for treatment is made by the person directly, through cash or other means, rather than using health insurance.
2. Medicaid
A joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.
3. State-financed health insurance plan other than Medicaid
4. Private health insurance
5. Federal military insurance (e.g., TRICARE)
6. State mental health agency (or equivalent) funds
Funds designed to finance the cost of treatment for mental health conditions.
7. State welfare or child and family services funds
8. State corrections or juvenile justice funds
9. State education agency funds
10. Other State funds
11. County or local government funds
12. Community Service Block Grants
Provides funds to alleviate the causes and conditions of poverty in communities.
13. Community Mental Health Block Grants
Through individual block grant contracts with community mental health services programs, these resources are focused on development and maintenance of community based services.
14. U.S. Department of VA funds
15. IHS/Tribal/Urban (ITU) funds
Direct funds from the Indian Health Service. They consist of tribal funds through "638 contracts" (named after the public law under which they were authorized) and/or urban funds through federal Title 5 grants. These funds are considered part of the Indian healthcare system and can be used for programs that provide behavioral health services as well as for programs that provide other health-related services.
1. Crisis intervention team
A self-initiated community partnership between local law enforcement, county health services, mental health advocates, and mental health consumers. It is designed to address the needs of mental health consumers who enter the judicial system during a crisis state.
2. Psychiatric emergency walk-in services
Designed to provide accessible, professional, cost-effective services to individuals in psychiatric crisis, and strive to stabilize consumers on site and avoid psychiatric hospitalization whenever possible.
3. Psychiatric emergency onsite services
A self-initiated community partnership between local law enforcement, county health services, mental health advocates, and mental health consumers. It is designed to address the needs of mental health consumers who enter the judicial system during a crisis state.
4. Psychiatric emergency mobile/off-site services
A self-initiated community partnership between local law enforcement, county health services, mental health advocates, and mental health consumers. It is designed to address the needs of mental health consumers who enter the judicial system during a crisis state.
1. Sliding fee scale (fee is based on income and other factors)
Variable prices for services based on a person’s ability to pay.
1. Clients with co-occurring mental and substance use disorders
Facility has a program or group specifically tailored for persons with co-occurring mental and substance abuse disorders.
2. Veterans
Facility has a program or group specifically tailored for Veterans.
3. Criminal justice (other than DUI/DWI)/Forensic clients
Facility has a program or group specifically tailored for clients referred from the court/judicial system.
4. Clients who have experienced trauma
Facility has a program or group specifically tailored for persons who have experienced trauma.
5. Persons 18 and older with serious mental illness (SMI)
Facility has a program or group specifically tailored for persons with serious mental illness.
6. Persons with post-traumatic stress disorder (PTSD)
Facility has a program or group specifically tailored for persons with post-traumatic stress disorder.
1. Assertive community treatment
A multi-disciplinary clinical team approach, helps those with serious mental illness live in the community by providing 24-hour intensive community services in the individual's natural setting.
2. Case management service
Helps people arrange for appropriate services and supports through a case manager who monitors the needs of clients/patients and their families and coordinates services, such as mental health, social work, health, educational, vocational, recreational, transportation, advocacy, and respite care, as needed.
3. Court-ordered outpatient treatment
Known by different terms in different states, such as, “assisted outpatient treatment (AOT),” “involuntary outpatient treatment,” or “mandatory outpatient treatment.” Forty-four states permit the use of court-ordered outpatient treatment as a condition for persons with severe mental illness, who are too ill to seek care voluntarily, to remain in their community. Each state has its own civil commitment laws that establish criteria for determining when court-ordered treatment is appropriate for these individuals. (https://www.crimesolutions.gov/ProgramDetails.aspx?ID=228)
4. Family psychoeducation
Helps consumers and their families and supporters, through relationship building, education, collaboration, and problem solving to: 1) learn about mental illness; 2) master new ways of managing their mental illness; 3) reduce tension and stress within the family; 4) provide social support and encouragement to each other; 5) focus on the future; and 6) find ways for families and supporters to help consumers in their recovery.
5. Illness management and recovery
Uses a standardized individual or group format based on five evidence-based practices: 1) Psychoeducation, 2) Behavioral tailoring, 3) Relapse prevention training, 4) Coping skills training, and 5) Social skills training.
6. Integrated primary care services
These services address the general health care needs of persons with mental and substance use disorders. These general health care needs include the prevention and treatment of chronic illnesses (e.g., hypertension, diabetes, obesity, and cardiovascular disease) that can be aggravated by poor health habits such as inadequate physical activity, poor nutrition, and smoking. The services include screening, care coordination with staff, and providing linkages to ensure that all patient needs are met in order to promote wellness and produce the best outcomes.
7. Psychosocial rehabilitation services
This service is offered individually or in groups. It provides therapeutic or intervention services such as daily and community-living skills, self-care, and skills training (grooming, bodily care, feeding, social skills training, and basic language skills).
8. Suicide prevention services
Services include identifying risk factors; educating staff on the signs of suicidal behavior and using methods to detect risk; and the assessment, intervention, and management of suicidal patients including treatment of an underlying mental or substance use disorder, and use of psychotropic medication, supportive services, and education. Hotlines help individuals to contact the nearest suicide prevention mental health provider.
9. Supported employment
Services include assisting individuals with finding work; assessing individuals' skills, attitudes, behaviors, and interest relevant to work; providing vocational rehabilitation and/or other training; and providing work opportunities.
10. Supported housing
Independent, normal housing with flexible, individualized supportive services that allow individuals to maintain as much independence as possible.
1. Mentoring/peer support
1. Screening for tobacco use
Determines a client's use of tobacco products, such as cigarettes, cigars, pipe tobacco, or smokeless tobacco. It is generally recommended that providers screen for tobacco use on a regular basis by asking clients, as they are seen, about their current and past use of tobacco products and their exposure to secondhand smoke or tobacco.
1. Smoking/vaping/tobacco cessation counseling
Includes interventions for persons who use tobacco and want help with stopping, including behavioral support or counseling in groups or individually.
1. Children/Adolescents
Facility accepts children/adolescents (17 or younger) for treatment.
2. Young Adults
Facility accepts young adults (18-25) for treatment.
3. Adults
Facility accepts adults (26-64) for treatment.
4. Seniors
Facility accepts seniors (65 or older) for treatment.
1. Private non-profit organization
A charitable organization that does not qualify as a public charity.
1. Certified Community Behavioral Health Clinic
Responsible for directly providing (or contracting with partner organizations to provide) nine types of services, with an emphasis on the provision of 24 hour crisis care, utilization of evidence-based practices, care coordination and integration with physical health care. (https://www.thenationalcouncil.org)
1. Vaping not permitted
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
